Organization
LEONARD Y. WAGNER, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD Y WAGNER MD (OWNER)
(413) 734-3476
Entity
Organization
Contact information
Practice address
299 CAREW ST, SUITE 409, SPRINGFIELD, MA 01104-2301
(413) 734-3476
(413) 734-7450
Mailing address
PO BOX 9135, BROOKLINE, MA 02446-9135
(603) 893-9784
(603) 893-8886
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
Other
Enumeration date
11/29/2006
Last updated
09/30/2009
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